Community Health Network

Ranked among the nation's most integrated healthcare systems, Community Health Network is Central Indiana's leader in providing convenient access to exceptional healthcare services, where and when patients need them—in hospitals, health pavilions, workplaces, schools and homes.

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Advanced practice nursing

Community Health Network offers an array of opportunities for nurses, including opportunities for advanced practice nurses. There are approximately 125 advanced practice nurses within the network. Advanced practice nurses can be found in both the inpatient and outpatient setting, including clinics and physician offices.

An advanced practice nurse (APN) is a registered nurse who has completed additional coursework and clinical practice requirements leading to recognition as a nurse practitioner (NP), certified nurse midwife (CNM), clinical nurse specialist (CNS) or certified registered nurse anesthetist (CRNA).

All advanced practice nurses must meet rigorous education, certification, and continuing education requirements. Standards of practice are set and monitored by nursing professional organizations. Advanced practice nurses work collaboratively with physicians and other health professionals to coordinate health services for the best outcome for the patient.

Nurse practitioner (NP)

Nurse practitioners (NPs) employed by Community Health Network have master's, and in some cases, doctoral degrees. NPs provide primary and specialty care in collaboration with the healthc are team in a variety of settings. They diagnose and treat acute and chronic conditions; prescribe medications and treatments; and order, perform, and interpret diagnostic tests such as lab work and X-rays. Along with clinical services, NPs focus on health promotion, disease prevention, health education and counseling, guiding patients to make smarter health and lifestyle choices.

Certified nurse midwife (CNM)

A certified nurse midwife has an average of one and one-half years of specialized education beyond nursing school, either in an accredited certificate program or the master's level (similar to NPs, education at the master's level is increasingly common). CNMs provide well-woman gynecological and low-risk obstetrical care including prenatal, labor and delivery, and post-partum care.

Clinical nurse specialist (CNS)

Clinical nurse specialists are registered nurses with advanced nursing degrees—master's or doctoral—who are experts in a specialized area of clinical practice such as mental health, gerontology, cardiac or cancer care, and community or neonatal health.

CNSs work in hospitals, clinics, nursing homes, their own offices and other community-based settings. Qualified to handle a wide range of physical and mental health problems, CNSs provide primary care and psychotherapy. They conduct health assessments, make diagnoses, deliver treatment and develop quality control methods. In addition to delivering direct patient care, CNSs work in consultation, research, education and administration.

Certified registered nurse anesthetist (CRNA)

A certified registered nurse anesthetist is a registered nurses who has completed 2-3 years of higher education beyond the required four-year bachelor's degree, as well as met national certification and re-certification requirements.

In this oldest of the advanced nursing specialties, CRNAs administer more than 65 percent of all anesthetics given to patients each year, and are the sole providers of anesthetics in 85 percent of rural hospitals. Working sometimes with an MD anesthesiologist, but frequently independently, these nurse specialists work in almost every setting in which anesthesia is given operating rooms, dentist's offices and ambulatory surgical settings. 

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